The Healthy Place PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

THE HEALTHY PLACE PLLC

Practice address

3158 North Clanton St
Buckeye, AZ 85396

Phone

(208) 848-4987

Fax

(602) 563-8218

NPI assigned

Sep 3, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tyler Anderson

Title

Managing Member

Phone

(586) 612-0476

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1306755517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 S CLEARWATER LOOP # 4507",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549599",
            "telephone_number": "208-848-4987",
            "fax_number": "602-563-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3158 NORTH CLANTON ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "85396",
            "telephone_number": "208-848-4987",
            "fax_number": "602-563-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTHY PLACE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "586-612-0476"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.